CAL CO QUILT CAMP

APRIL 30, MAY 1 and 2, 2010

Battle Creek Public Schools Outdoor Education Center/Clear Lake Camp

“Registration Form”

Name:__________________________________________________________________

Address:________________________________________________________________

City, State, Zip___________________________________________________________

Home Phone:______________________  Email Address:_________________________

Amount Enclosed:_____________ Members $105.00 - Non Members:  $130.00

(Please enclose a deposit of $55.00 with registration with balance due by the March 8, 2010 Guild meeting)

Please list the classes you would enjoy taking (list on website or newsletter).  At the March guild meeting you will be given a confirmation and a list of supplies for each class you requested.  Send completed form and check made payable to “Cal-Co Quilt Guild” to

            Cal-Co Quilt Guild

            Attn:  Becky Green

            PO Box 4383

            Battle Creek, MI  49016-0867

            This e-mail address is being protected from spambots. You need JavaScript enabled to view it

Class Registration

Saturday A.M. (9:00 - 12:00)________________________________________________

Saturday P.M (1:00 - 4:00)__________________________________________________

I will not hold Cal-Co Quilt Guild or the Outdoor Education Center responsible for any personal loss or injury:

Emergency Contact:_____________________________  Phone:__________________

Signature:_______________________________________ Date:___________________